Blaine Randall Blakestad, MD is a medicare enrolled "General Practice" physician in Lufkin, Texas. His current practice location is
1201 W Frank Ave, Lufkin, Texas. You can reach out to his office (for appointments etc.) via phone at
(936) 639-7696.
Blaine Randall Blakestad is licensed to practice in Texas (license number F1391) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881641975.
Physician's Profile
Full Name | Blaine Randall Blakestad |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1201 W Frank Ave, Lufkin, Texas |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Blaine Randall Blakestad attended and graduated from in
NPI Data:
- NPI Number: 1881641975
- Provider Enumeration Date: 05/27/2006
- Last Update Date: 09/29/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Blaine Randall Blakestad such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881641975 | NPI | - | NPPES |
214434701 | Medicaid | TX | |
8F6127 | Other | TX | BLUE CROSS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | F1391 (Texas) | Secondary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | F1391 (Texas) | Secondary |
208D00000X | General Practice | F1391 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Blaine Randall Blakestad is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Blaine Randall Blakestad, MD 702 Brentwood Dr, Lufkin, TX 75901-8853 Ph: (936) 639-7861 | Blaine Randall Blakestad, MD 1201 W Frank Ave, Lufkin, TX 75904-3357 Ph: (936) 639-7696 |
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